Breast lump removal
Facility: Geisinger-Community Medical Center
Billing Code: 19120 (CPT)
Highest price of the 9 PA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.
A fair price for a Breast lump removal is about $3,769 (about 0.9× the $4,000 Medicare rate). Geisinger-Community Medical Center charges insurers about $3,782, or about $7,676 in cash — about the fair price. Located in Scranton, PA.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
4 of 6 major insurers have a published price at this hospital
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| Blue Cross Blue Shieldmajor | $772 - $5,182 | 19% |
| Aetnamajor | $3,918 - $8,765 | 98% |
| Cignamajor | $4,368 - $6,552 | 109% |
| Humanamajor | $3,858 | 96% |
| Ambetter (Centene) | $12,481 | 312% |
| AmeriHealth | $199 | 5% |
| Geisinger | $178 - $10,876 | 4% |
| Health Net | $5,804 - $8,706 | 145% |
| HealthPartners | $208 | 5% |
| UPMC Health Plan | $203 - $216 | 5% |
| + 4 smaller / regional plans | $3,782 - $13,370 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Geisinger-Community Medical Center
Compare: Breast lump removal at other PA hospitals
- Saint Vincent Hospital · Erie $510
- Allegheny Valley Hospital · Natrona $510
- Allegheny General Hospital · Pittsburgh $510
- Canonsburg General Hospital · Canonsburg $510
- Jefferson Hospital · Jefferson Hills $510
- Grove City Medical Center · Grove City $510
- Forbes Hospital · Monroeville $510
- Chan Soon- Shiong Medical Center at Windber · Windber $536
Insurance negotiated median for the same procedure, sorted lowest first.